Diffuse Axonal Injury: a Case Report and MRI Findings

Overview

Journal Radiol Case Rep

Publisher Elsevier

Specialty Radiology

Date 2021 Nov 12

PMID 34765068

Citations 5

Authors

Duc Tan Vo

Chien Cong Phan

Hy Gia Nguyen Le

Truc Phuong Vo

Uyen Tu Thi Mai

Hang Kim Le

Tram Bich Thi Ha

Affiliations

Soon will be listed here.

Abstract

Diffuse axonal injury (DAI) is one of the most severe types of primary traumatic brain injury. In recent years, MR imaging has been gaining popularity as an adjunctive imaging method in patients with DAI. In this case report, we describe MRI findings of an 11-year-old male patient diagnosed with DAI and discuss the role of different sequences in the evaluation of DAI.

Citing Articles

Review of the Brain's Behaviour after Injury and Disease for Its Application in an Agent-Based Model (ABM).

Irastorza-Valera L, Soria-Gomez E, Benitez J, Montans F, Saucedo-Mora L Biomimetics (Basel). 2024; 9(6).

PMID: 38921242 PMC: 11202129. DOI: 10.3390/biomimetics9060362.

Occurrence of Numerous Cerebral White Matter Hyperintensities in Trauma Patients With Cerebral Fat Embolism: A Systematic Review and Report of Two Cases.

Huang G, Dunham C, Chance E Cureus. 2023; 15(9):e45450.

PMID: 37859880 PMC: 10583483. DOI: 10.7759/cureus.45450.

The Role of Novel Imaging and Biofluid Biomarkers in Traumatic Axonal Injury: An Updated Review.

Lampros M, Vlachos N, Tsitsopoulos P, Zikou A, Argyropoulou M, Voulgaris S Biomedicines. 2023; 11(8).

PMID: 37626808 PMC: 10452517. DOI: 10.3390/biomedicines11082312.

Susceptibility - weighted imaging: A valuable diagnostic tool for early detection of high-altitude cerebral edema: A case report.

Kandel K, Regmi P, Poudel S Radiol Case Rep. 2023; 18(9):3089-3092.

PMID: 37434613 PMC: 10331005. DOI: 10.1016/j.radcr.2023.06.009.

Pediatric abusive head trauma: visual outcomes, evoked potentials, diffusion tensor imaging, and relationships to retinal hemorrhages.

Kelly J, Feldman K, Wright J, Metz J, Weiss A Doc Ophthalmol. 2023; 147(1):1-14.

PMID: 36881212 PMC: 10329619. DOI: 10.1007/s10633-023-09927-w.

References

Davis P . Head trauma. AJNR Am J Neuroradiol. 2007; 28(8):1619-21. PMC: 8134414. View

Paterakis K, Karantanas A, Komnos A, Volikas Z . Outcome of patients with diffuse axonal injury: the significance and prognostic value of MRI in the acute phase. J Trauma. 2000; 49(6):1071-5. DOI: 10.1097/00005373-200012000-00016. View

Jeong H, Choi S, Youm J, Lim J, Kwon H, Song S . Mortality and Epidemiology in 256 Cases of Pediatric Traumatic Brain Injury: Korean Neuro-Trauma Data Bank System (KNTDBS) 2010-2014. J Korean Neurosurg Soc. 2017; 60(6):710-716. PMC: 5678058. DOI: 10.3340/jkns.2016.1010.001. View

Huisman T, Sorensen A, Hergan K, Gonzalez R, Schaefer P . Diffusion-weighted imaging for the evaluation of diffuse axonal injury in closed head injury. J Comput Assist Tomogr. 2003; 27(1):5-11. DOI: 10.1097/00004728-200301000-00002. View

Adams J, Doyle D, Ford I, Gennarelli T, Graham D, McLellan D . Diffuse axonal injury in head injury: definition, diagnosis and grading. Histopathology. 1989; 15(1):49-59. DOI: 10.1111/j.1365-2559.1989.tb03040.x. View

Le T, Mukherjee P, Henry R, Berman J, Ware M, Manley G . Diffusion tensor imaging with three-dimensional fiber tractography of traumatic axonal shearing injury: an imaging correlate for the posterior callosal "disconnection" syndrome: case report. Neurosurgery. 2004; 56(1):189. View

Tao J, Zhang W, Wang D, Jiang C, Wang H, Li W . Susceptibility weighted imaging in the evaluation of hemorrhagic diffuse axonal injury. Neural Regen Res. 2016; 10(11):1879-81. PMC: 4705807. DOI: 10.4103/1673-5374.170322. View

Adams J, Graham D, Murray L, Scott G . Diffuse axonal injury due to nonmissile head injury in humans: an analysis of 45 cases. Ann Neurol. 1982; 12(6):557-63. DOI: 10.1002/ana.410120610. View

Hergan K, Schaefer P, Sorensen A, Gonzalez R, Huisman T . Diffusion-weighted MRI in diffuse axonal injury of the brain. Eur Radiol. 2002; 12(10):2536-41. DOI: 10.1007/s00330-002-1333-2. View

10.

Ashwal S, Babikian T, Gardner-Nichols J, Freier M, Tong K, Holshouser B . Susceptibility-weighted imaging and proton magnetic resonance spectroscopy in assessment of outcome after pediatric traumatic brain injury. Arch Phys Med Rehabil. 2006; 87(12 Suppl 2):S50-8. DOI: 10.1016/j.apmr.2006.07.275. View

11.

Sugiyama K, Kondo T, Higano S, Endo M, Watanabe H, Shindo K . Diffusion tensor imaging fiber tractography for evaluating diffuse axonal injury. Brain Inj. 2007; 21(4):413-9. DOI: 10.1080/02699050701311042. View

12.

Taylor C, Bell J, Breiding M, Xu L . Traumatic Brain Injury-Related Emergency Department Visits, Hospitalizations, and Deaths - United States, 2007 and 2013. MMWR Surveill Summ. 2017; 66(9):1-16. PMC: 5829835. DOI: 10.15585/mmwr.ss6609a1. View